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Emmett Lee Wallace, DO
Family Medicine Physician in Bettendorf, Iowa
NPI 1215992334

Emmett Lee Wallace is a Family Medicine Physician based in Bettendorf, IA. Emmett Lee Wallace practices in Bettendorf, IA and has the professional credentials of DO. The NPI Number for Emmett Lee Wallace is 1215992334 and holds a License No. 01133 (Iowa).

The current practice location address for Emmett Lee Wallace is 1019 Broadlawn Avenue, Bettendorf, IA and can be reached out via phone at 563-359-1181 and via fax at 563-386-3177.

Location: 1019 Broadlawn Avenue, Bettendorf, IA, 52722
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215992334
Provider Name
Emmett Lee Wallace
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1019 Broadlawn Avenue, Bettendorf, IA, 52722
Phone Number
563-359-1181
Fax Number
563-386-3177
Provider Enumeration Date
04/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0047902 05 IA
0158642 01 BCBS
institution
Provider Business Practice Location Address Details
Address
1019 Broadlawn Avenue
City
Bettendorf
State
Iowa
Zip
52722
Phone Number
563-359-1181
Fax Number
563-386-3177
person
Provider Business Mailing Address Details
Address
1019 Broadlawn Avenue
City
Bettendorf
State
Iowa
Zip
52722
Phone Number
563-359-1181
Fax Number
563-386-3177
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
01133 (Iowa)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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